Podcast
Questions and Answers
What is the primary action of the patient in agonist contraction?
What is the primary action of the patient in agonist contraction?
- To concentrically contract the agonist muscle (correct)
- To passively lengthen the tight muscle
- To resist movement through the tight muscle
- To hold the antagonist muscle in a static position
What is a key principle of the Rood Approach?
What is a key principle of the Rood Approach?
- Immediate muscle fatigue
- Inhibition of all muscle activity
- Rapid intervention without assessment
- Normalisation of tone and purposeful movement (correct)
What should the therapist be cautious about when applying resistance during agonist contraction?
What should the therapist be cautious about when applying resistance during agonist contraction?
- Impeding new gains in length (correct)
- Creating excessive muscle fatigue
- Increasing the tight muscle's strength
- Preventing further muscle relaxation
What is the primary purpose of rhythmic initiation in therapy?
What is the primary purpose of rhythmic initiation in therapy?
In the context of the Rood Approach, what is the significance of the phrase 'gradual developmental sequence'?
In the context of the Rood Approach, what is the significance of the phrase 'gradual developmental sequence'?
Which statement accurately describes slow reversal?
Which statement accurately describes slow reversal?
What can be achieved through the techniques outlined in the Rood Approach?
What can be achieved through the techniques outlined in the Rood Approach?
What additional feature does slow reversal hold incorporate compared to slow reversal?
What additional feature does slow reversal hold incorporate compared to slow reversal?
Which progression follows rhythmic initiation to enhance coordination and control?
Which progression follows rhythmic initiation to enhance coordination and control?
What is a major benefit of using the slow reversal technique in therapy?
What is a major benefit of using the slow reversal technique in therapy?
Which technique is focused on improving muscle stabilization through the use of alternating contractions?
Which technique is focused on improving muscle stabilization through the use of alternating contractions?
What is a critical component in the effectiveness of PNF strengthening techniques?
What is a critical component in the effectiveness of PNF strengthening techniques?
In PNF strengthening, what type of feedback is primarily emphasized to enhance muscle response?
In PNF strengthening, what type of feedback is primarily emphasized to enhance muscle response?
What is the primary goal of PNF strengthening movements?
What is the primary goal of PNF strengthening movements?
Which of the following is NOT a characteristic of PNF strengthening patterns?
Which of the following is NOT a characteristic of PNF strengthening patterns?
What is the primary focus of Proprioceptive Neuromuscular Facilitation (PNF)?
What is the primary focus of Proprioceptive Neuromuscular Facilitation (PNF)?
In what order should movements be prioritized according to PNF techniques?
In what order should movements be prioritized according to PNF techniques?
Which technique is recommended to start with before moving on to PNF strengthening?
Which technique is recommended to start with before moving on to PNF strengthening?
What type of movement patterns are used in PNF techniques?
What type of movement patterns are used in PNF techniques?
What is the primary goal of using PNF in rehabilitation?
What is the primary goal of using PNF in rehabilitation?
Which of the following is NOT a hallmark of the PNF approach?
Which of the following is NOT a hallmark of the PNF approach?
Which sensory cue is NOT mentioned as part of the PNF techniques?
Which sensory cue is NOT mentioned as part of the PNF techniques?
Where should strengthening techniques begin according to PNF practices?
Where should strengthening techniques begin according to PNF practices?
What is the primary goal of using manual contracts in PNF?
What is the primary goal of using manual contracts in PNF?
Which procedure is aimed at enhancing joint movement by separating the joint surfaces?
Which procedure is aimed at enhancing joint movement by separating the joint surfaces?
In PNF patterns, which of the following is considered essential for smooth and coordinated motion?
In PNF patterns, which of the following is considered essential for smooth and coordinated motion?
What is the purpose of using verbal commands during PNF?
What is the purpose of using verbal commands during PNF?
How should the therapist position themselves during PNF exercises?
How should the therapist position themselves during PNF exercises?
Why are visual cues important in PNF?
Why are visual cues important in PNF?
What should the sequence of movements look like in PNF patterns?
What should the sequence of movements look like in PNF patterns?
What is the effect of approximation in PNF techniques?
What is the effect of approximation in PNF techniques?
Which of the following best describes PNF patterns?
Which of the following best describes PNF patterns?
What is the role of traction in PNF procedures?
What is the role of traction in PNF procedures?
Which of the following techniques relies on the firing of GTO to cause reflexive muscle relaxation?
Which of the following techniques relies on the firing of GTO to cause reflexive muscle relaxation?
In the 'Hold-Relax with Agonist Contraction' technique, what is the purpose of the patient concentrically contracting the muscle opposite to the tight muscle?
In the 'Hold-Relax with Agonist Contraction' technique, what is the purpose of the patient concentrically contracting the muscle opposite to the tight muscle?
What is the primary mechanism by which PNF stretching techniques relax muscles?
What is the primary mechanism by which PNF stretching techniques relax muscles?
Which statement accurately describes the 'Hold-Relax' technique?
Which statement accurately describes the 'Hold-Relax' technique?
Which of the following statements about PNF stretching is TRUE?
Which of the following statements about PNF stretching is TRUE?
How does the 'Hold-Relax with Agonist Contraction' technique differ from the 'Hold-Relax' technique?
How does the 'Hold-Relax with Agonist Contraction' technique differ from the 'Hold-Relax' technique?
Flashcards
Rhythmic stabilization
Rhythmic stabilization
A PNF technique that uses a combination of isometric holds and rhythmic contractions to enhance strength and stability.
Slow reversal
Slow reversal
A PNF technique where the therapist slowly moves the patient's limb in one direction against resistance, followed by a slow return to the starting position.
Slow reversal hold
Slow reversal hold
A PNF technique where the therapist holds the patient's limb at the end range of motion for a period of time, using isometric contraction to enhance strength.
Alternating isometrics
Alternating isometrics
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Alternation rhythmic stabilization
Alternation rhythmic stabilization
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Rhythmic Initiation
Rhythmic Initiation
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Agonist Muscles
Agonist Muscles
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Antagonist Muscles
Antagonist Muscles
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PNF (Proprioceptive Neuromuscular Facilitation)
PNF (Proprioceptive Neuromuscular Facilitation)
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PNF Patterns
PNF Patterns
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PNF Strengthening Applications
PNF Strengthening Applications
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PNF Movement Progression
PNF Movement Progression
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Diagonal Patterns (PNF)
Diagonal Patterns (PNF)
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Sensory Cues (PNF)
Sensory Cues (PNF)
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Stability & Mobility (PNF)
Stability & Mobility (PNF)
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PNF's Functional Aim
PNF's Functional Aim
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Hold-Relax
Hold-Relax
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Hold-Relax with Agonist Contraction
Hold-Relax with Agonist Contraction
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PNF Stretching
PNF Stretching
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Tight Muscle
Tight Muscle
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GTO
GTO
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Precautions of PNF Stretching
Precautions of PNF Stretching
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Risk of PNF Stretching
Risk of PNF Stretching
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Maximal Resistance
Maximal Resistance
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Traction
Traction
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Approximation
Approximation
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Position and Movement of the Therapist
Position and Movement of the Therapist
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Verbal Commands
Verbal Commands
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Visual Cues
Visual Cues
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Manual Contact
Manual Contact
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PNF Basic Procedures
PNF Basic Procedures
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Distal Segment Moves First
Distal Segment Moves First
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Agonist Contraction
Agonist Contraction
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Rood's Approach
Rood's Approach
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Manipulating the CNS
Manipulating the CNS
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Purposeful Movement Restoration
Purposeful Movement Restoration
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Repetition or Practice
Repetition or Practice
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Study Notes
PNF Patterns
- PNF patterns are used for rehabilitation of musculoskeletal conditions with altered neuromuscular control.
- They involve multi-joint, multiplanar, diagonal, and rotational movements for developing strength, endurance, facilitating stability, and mobility.
- PNF patterns use sensory cues and diagonal patterns for optimal neuromuscular responses.
PNF Basic Procedures
- Manual contacts are often placed over agonist muscles.
- Resistance is applied to facilitate movement and inhibit pain.
- Therapists should face the direction of the moving limb to apply resistance via body weight.
- Visual cues should be provided for enhanced movement control.
- The movement pattern should be taught from start to finish.
- Coordinated motion and appropriate body positioning are critical.
- Timing of the movement is an essential component.
Diagonal Patterns (Upper Extremity)
- D1: Shoulder extension, abduction, internal rotation; elbow extension, forearm pronation; wrist and finger extension. Cue: "squeeze my finger, turn your palm up, pull your arm up & across your face," then "open your hand, wrist & fingers up, push your arm down & out."
- D2: Shoulder flexion, adduction, internal rotation; elbow extension, forearm pronation, finger flexion. Cue: "open your hand, turn it to your face, lift your arm up & out, point your thumb out". Then "squeeze my finger & pull down across your chest."
Diagonal Patterns (Lower Extremity)
- D1: Hip extension, abduction, internal rotation; knee extension, ankle plantarflexion, foot eversion. Cue: "foot & toes up & in, bend your knee, pull your leg over & across".
- D2: Hip flexion, abduction, external rotation; knee flexion, ankle dorsiflexion, foot inversion. Cue: "foot & toes up & out, lift your leg up & out".
PNF Strengthening Techniques
- Rhythmic stabilization: Alternating contractions of agonist and antagonist muscles in a movement pattern.
- Slow reversal: Slow, controlled contractions of a muscle, alternating directions of movement.
- Slow reversal hold: Slow reversal with a hold at the end-range of motion.
- Alternating isometrics: Alternating isometric contractions of agonists and antagonists.
- Alternating rhythmic stabilization: Alternating isometrics with rhythmic stabilization.
PNF Stretching Techniques
- Designed mainly for improving flexibility.
Rood's Approach
- A neurophysiological and developmental approach used to treat CNS disorders focused on normalizing tone through gradual development of purposeful movement patterns.
- Main principles include normalizing tone, respecting gradual development, purposeful movement restoration, and repetition/practice.
Rood's Approach: Techniques
-
Facilitatory Techniques: Used for improving tone in flaccid muscles by stimulation with tactile cues.
- Distal to proximal application.
-
Examples: Fast brushing, light touch, tapping, quick stretch, resistance.
-
Inhibitory Techniques: Used for reducing tone in spastic muscles, Proximal to Distal Application.
- Examples: stroking (slow and firm pressure), neutral warmth, approximating or compressing joints.
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